CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC – NPI #1093138604
Clinic/Center

CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC is an AHC clinic located in SANTA MARIA, CA. NPPES has assigned the NPI number 1093138604 to CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC on February 03, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC is also known by the name GROUP NPI. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 4 years ago on Mar 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC below.

NPI Profile for
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC

NPI Number
1093138604
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES, INC
Other Name: GROUP NPI
Primary location
821 E CHAPEL ST STE 103
SANTA MARIA, CA 93454-4618
Phone: (805) 925-1009 Fax: (805) 925-1137
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULEEN STIMSON
ADMINISTRATOR
Phone: (805) 925-1009
Updated
Certification Date
Mar 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.